LAKE COOK DENTAL CENTER

NPI # 

Practice Address:

115 W Orchard St

Itasca, IL, 60143-1700

Practice Phone:

847-250-5580

License Number:

019025184

License State:

IL

Taxonomy Grouping:

Suppliers

Taxonomy Classification:

Durable Medical Equipment & Medical Supplies

Taxonomy Specialization:

Customized Equipment

Taxonomy Code:

332BC3200X